Title Page

  • Audit Title

  • Business name

  • Conducted on

  • Prepared by

  • PN

  • Address
  • Principal activity

  • Personnel interviewed

  • Size of property

  • Owner/operator

Environmental Management

  • Does the premises/operation have any of the following in place?

  • Current Development Approvals

  • Property Management Plan

  • Environmental Management System

  • If yes can copies be obtained during inspection?

  • If no, are any of the above:

  • Recommended by the Industry?

  • Required by law?

  • Likely to be of benefit to the business?

  • Details:

  • Does the property owner/manager hold licences with any of the following?

  • NSW EPA EPL (water, noise, air ect)

  • Council (trade waste, ossm etc)

  • NSW Office of Water (irrigation, water etc)

  • Workcover (white card, dangerous goods etc)

  • Other:

  • Comments:

Water quality management

Water quality management

  • Onsite Sewage Management

  • Does the business discharge to an onsite sewage management system (OSSM)?

  • Does the system have a current approval to operate?

  • Is the system operating satisfactorily?

  • If not what problems are noted?

  • Photo

  • Management of sediment, erosion and litter

  • Is there visual evidence of erosion hazards on site? E.g. Steep or unstable slopes, cleared drainage lines, bare unprotected earth.

  • Does the property/business have a plan to control runoff, erosion, sediment and litter on site?

  • Is there visual evidence of natural features such as drainage lines, water bodies and existing vegetation being retained (or revegetated) around the property?

  • Is water diverted from the property held in storage dams for later use in irrigation?

  • Photo

  • Is stockpile material

  • Located away from drainage lines?

  • Minimal in number and size?

  • Built with slope greater than 2:1?

  • Stored in an appropriate area?

  • Held on a hardened surface?

  • Covered?

  • Comments:

  • Photo

  • Are internal pathways and roadways stabilised to control erosion?

  • Is vegetation or other means used to cover bare soil at all times?

  • Does the site have established vegetation or stabilised buffer zones to creeks and waterways?

  • Is yes provide details:

  • Photo

Drainage management - stormwater/irrigation

Drainage Management - stormwater/irrigation

  • Where is stormwater from the property diverted to?

  • Open channel or watercourse?

  • Watercourse:

  • Dam?

  • Bushland?

  • Pasture?

  • Storage tanks/absorption trenches?

  • Artificial wetland?

  • Comments on any recommended improvements to prevent environmental impacts?

  • Are buffer zones established to filter stormwater/surface water runoff before it enters any of the above?

  • If yes provide details:

  • Photo

Water storage dams

Water storage dams

  • Are water storage dams constructed on site?

  • Are the dams fenced and stock access limited?

  • What alternative water supplies exist on site?

  • Comments:

  • Photo

Waste management

Waste management

  • Where possible are wastes reused or recycled ? Comments:

  • Are wastes disposed of on site at an approved waste management facility?

  • If yes please specify facility:

  • Are wastes stored in a manner to prevent the escape of pollutants to the environment?

  • Is any waste disposed of on site?

  • If yes, provide details of materials and locations:

  • Is any waste incinerated on site?

  • If yes, provide details:

  • Comments:

  • Photo

Air quality management

Air quality management

  • Does the business generate any of the following?

  • Smoke

  • Dust particles

  • Odours/fumes/vapours/steam?

  • Is there a need for air quality controls on the property?

  • Is air pollution likely to be a problem on this property?

  • Comments:

  • Photo

Site Contamination

Site Contamination

  • Is there any evidence of contamination on the site?

  • If yes, provide details:

  • Has any remediation (clean-up) been undertaken in the past, or is it planned for the future?

  • Comments:

  • Does the condition of the facility represent a hazard to the environment or human health and safety?

  • If yes, what type of remediation is proposed?

  • Is the property on Council's contaminated land register?

  • Details:

  • Photo

  • Additional comments:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.